Dreno B, Bodokh I, Chivot M, Daniel F, Humbert P, Poli F, Clerson P, Berrou J P
Clinique dermatologique, CHU, Nantes.
Ann Dermatol Venereol. 1999 Feb;126(2):136-41.
Different acne gradings have been proposed: global grading, semi-global grading, quantitative grading and photographic grading. They are mainly used in clinical studies for the evaluation of acne treatment. However, it would be important for physicians to have an acne grade which would be useful for assessing acne lesions prior to treatment and following treatment efficacy.
Six French dermatologists developed an acne grading scaled called "ECLA" which only takes 2 minutes to fill out and specifically designed for use by dermatologist practitioners. In addition, the intra- and inter-observer reliability of the grading scale was assessed.
This analysis demonstrated the excellent reliability of the ECLA grading scale both in terms of intra- and inter-observer variability except for the retentional factor. The cross physician reliability decreased with time specificity for the retention factor, indicating that previous training prior to a multicentric clinical study would be necessary.
ECLA grading appears to be an interesting and useful tool in dermatology for the follow-up of acne patients.
已经提出了不同的痤疮分级方法：整体分级、半整体分级、定量分级和照片分级。它们主要用于临床研究中痤疮治疗效果的评估。然而，对于医生来说，拥有一种有助于在治疗前评估痤疮损害以及治疗后评估疗效的痤疮分级方法非常重要。
六位法国皮肤科医生开发了一种名为“ECLA”的痤疮分级量表，填写该量表仅需2分钟，且是专门为皮肤科医生设计的。此外，还评估了该分级量表在观察者内部和观察者之间的可靠性。
该分析表明，除了潴留因素外，ECLA分级量表在观察者内部和观察者之间的变异性方面均具有出色的可靠性。不同医生之间对于潴留因素的可靠性会随着时间特异性而降低，这表明在多中心临床研究之前进行预先培训是必要的。
ECLA分级在皮肤科似乎是一种用于痤疮患者随访的有趣且有用的工具。
